IndividualActive
Charles Park, MD
NPI 1972704096 · Surgery Physician · Klamath Falls, OR
Provider details
- NPI number
- 1972704096
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 249748 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(94/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2301 Clairmont Dr
Klamath Falls, OR 97601-7104
Phone: (541) 274-2345
Fax: (541) 274-6247
Street-level locationGet directions
Mailing address
2865 Daggett Ave Fl 4
Klamath Falls, OR 97601-1106
Additional practice locations (1)
- 234 Goodman StCincinnati, OH 45219-2364Phone: (513) 475-8787Fax: (513) 558-3136
Registry dates
- Enumerated
- 2007-05-29
- Last updated
- 2025-10-30
- Certified
- 2025-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.